Dr Andrew Colin Russell, MD | |
28 Country Club Vw, Edwardsville, IL 62025-3626 | |
(573) 424-9110 | |
Not Available |
Full Name | Dr Andrew Colin Russell |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 28 Country Club Vw, Edwardsville, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902120819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2012023819 (Missouri) | Secondary |
207P00000X | Emergency Medicine | 036.134694 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Emergency Anderson Health Inc | 8022401256 | 31 |
Entity Name | Uptown Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811135882 PECOS PAC ID: 8921096850 Enrollment ID: O20040430001269 |
Entity Name | Midwest Emergency Anderson Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
Entity Name | Midwest Inpatient Anderson Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Colin Russell, MD 6800 Illinois 162, Maryville, IL 62062 Ph: (618) 288-5711 | Dr Andrew Colin Russell, MD 28 Country Club Vw, Edwardsville, IL 62025-3626 Ph: (573) 424-9110 |
Dr. Ha Thuy Hatley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025 Phone: 618-288-8500 | |
Dr. Edward Moy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13 Meadow Rue Dr, Edwardsville, IL 62025 Phone: 618-692-6651 |